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Sustainable medication usage in nursing homes : An explorative study into the perspectives of stakeholders on redispensing medication in Dutch nursing homes

Medication shortages in the Netherlands are the highest they have ever been while approximately 20% of all medication is being thrown away unused. Combined with strengthened ambitions from the Dutch government to improve the sustainability of the healthcare sector, voices have become louder to consider the redispensing of medication. In this study, the perspectives of nurses, pharmacists, and prescribers that are active in the medication chain for Dutch nursing homes have been gathered regarding this strategy to reduce the medication wastage. Semi-structured interviews were organized, transcribed, and subsequently analysed through the framework method. The aim of this study is to enable policy makers to include the perspectives of stakeholders in the medication chain for nursing homes on medication leftovers and on the strategy of redispension in their strengthened ambitions on sustainable healthcare. The results of the analysis showed that medication wastage is a multi-causal problem that is considered as a negative aspect of the current system by all stakeholders. Redispension was seen as a realistic additive to the current practices, under the condition that the quality of the medication could be assured, that the stakeholders are provided with enough information, and that the system would be financially viable. Circular strategies such as rethink, refuse and reduce are possible effective options to reduce the medication leftovers as well. Several recommendations were made for nursing homes from examples in nursing homes that were collected during the study.

Identiferoai:union.ndltd.org:UPSALLA1/oai:DiVA.org:liu-205572
Date January 2024
CreatorsTeeling, Jochem
PublisherLinköpings universitet, Tema Miljöförändring
Source SetsDiVA Archive at Upsalla University
LanguageEnglish
Detected LanguageEnglish
TypeStudent thesis, info:eu-repo/semantics/bachelorThesis, text
Formatapplication/pdf
Rightsinfo:eu-repo/semantics/openAccess

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